Skip to main content
SpringerLink
Log in

Uncommon Case of a Post-Traumatic Portal Vein Pseudoaneurysm Treated with Percutaneous Transhepatic Stent Grafting

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We describe a man who presented with a traumatic portal vein pseudoaneurysm, which was subsequently managed with a percutaneous transhepatic stent graft. This case demonstrates a rarely seen condition in the traumatic population and a novel management strategy, which should be considered in the management of this challenging injury.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Fraga GP, Bansal V, Fortlage D, Coimbra R. A 20-year experience with portal and superior mesenteric venous injuries: has anything changed? Eur J Vasc Endovasc Surg. 2009; 37:87e91.

  2. Jain R, Pande GK, Sahni P, Dwivedi DN. Traumatic aorto-mesenteric-portal fistula: percutaneous management: case report. Sultan Qaboos Univ Med J. 2009;9(1):89–94.

    PubMed  PubMed Central  Google Scholar 

  3. Cheng YF, Ou HY, Tsang LL, et al. Vascular stents in the management of portal venous complications in living donor liver transplantation. Am J Transpl. 2010;10:1276–83.

    Article  Google Scholar 

  4. Javadrasshid R, Mozafarpour S, Sadrarami S, Jalili J, Sepehri B. Pseudoaneurysm of the portal vein as a rare source of gastrointestinal bleeding in pregnancy: a case report. Gastroenterol Hepatol Bed Bench. 2012;5(4):213–6.

    PubMed  PubMed Central  Google Scholar 

  5. Burke CT, Park J. Burke Portal vein pseudoaneurysm with portoenteric fistula: an unusual cause for massive gastrointestinal hemorrhage. Semin Interv Radiol. 2007;24(3):341–5.

    Article  Google Scholar 

  6. Pearl J, Chao A, Kennedy S, Paul B, Rhee P. Traumatic injuries to the portal vein: case study. J Trauma 2004;56(4): 779e82

  7. Adani GL, Baccarani U, Risaliti A, et al. Percutaneous transhepatic portography for the treatment of early portal vein thrombosis after surgery. Cardiovasc Intervent Radiol. 2007;30:1222–6.

    Article  PubMed  Google Scholar 

  8. Dollinger M, Goessmann H, Mueller-Wille R, Wohlgemuth WA, Stroszczynski C, Heiss P. Percutaneous transhepatic and transsplenic portal vein access: embolization of the puncture tract using amplatzer vascular plugs. Rofo. 2014;186(2):142–50.

    CAS  PubMed  Google Scholar 

  9. Cheng Y, Ou H, Tsang LL, et al. Vascular stents in the management of portal venous complications in living donor liver transplantation. Am J Transpl. 2010;10:1276–83.

    Article  Google Scholar 

Download references

Author Contributions

All authors were involved in patient management and wrote the report. Written consent to publication was obtained.

Author information

Authors and Affiliations

  1. Interventional Radiology Unit, Uninsubria, Ospedale di Circolo, viale Borri 57, 21100, Varese, Italy

    Anna Maria Ierardi & Gianpaolo Carrafiello

  2. Department of Surgery, Uninsubria, Ospedale di Circolo, viale Borri 57, 21100, Varese, Italy

    Mattia Berselli & Eugenio Cocozza

  3. Department of Vascular Surgery, Uninsubria, Ospedale di Circolo, viale Borri 57, 21100, Varese, Italy

    Patrizio Castelli

  4. Anesthesiology Department, Uninsubria, Ospedale di Circolo, viale Borri 57, 21100, Varese, Italy

    Salvatore Cuffari

Authors
  1. Anna Maria Ierardi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mattia Berselli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Salvatore Cuffari
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Patrizio Castelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eugenio Cocozza
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Gianpaolo Carrafiello
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gianpaolo Carrafiello.

Ethics declarations

Conflict of Interest

Authors declare that they have no conflict of interest.

Ethical Approval

Procedure performed in this report involving human participant was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ierardi, A.M., Berselli, M., Cuffari, S. et al. Uncommon Case of a Post-Traumatic Portal Vein Pseudoaneurysm Treated with Percutaneous Transhepatic Stent Grafting. Cardiovasc Intervent Radiol 39, 1506–1509 (2016). https://doi.org/10.1007/s00270-016-1373-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-016-1373-7

Keywords

Search

Navigation